| NPI | 1962443283 |
|---|---|
| Former Name | JOELL GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 253) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 12304) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-12-17 |